Dr. Michelle Spader
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Important Forms

Please complete and send in prior to first appointment or bring to first appointment.

Please complete and submit prior to first session or bring to first session.

Informed Consent
          You can print from the link above or complete this through Google Forms here.
Informed Consent for Telepsychology Services
          You can print from the link above or complete this through Google Forms here.
Child Intake Form​-FULL
          You can print from the link above or complete this through Google Forms here.
Child Intake Form-BRIEF  
          You can print from the link above or complete this through Google Forms here.      

Please review prior to first session.

Notice of Privacy Policies
Complete as needed.

Private Pay Agreement  (if you will not be using insurance benefits)
         
You can print from the link above or complete this through Google Forms here.
Testing Authorization Checklist (if you would like to contact your insurance company to ask about Psychological Testing benefits)
Authorization for Release of Information  (if you would like Dr. Spader to contact another professional/treating provider)

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  • Home
  • About
  • Services
  • Fees & Insurance
  • Forms
  • Contact/Scheduling
  • Resources